Highlands Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 75 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (7 vs median 2.0)
Below average in KY · Meets national RN staffing standard · $17,523 in fines
What this means for your family
While recent renovations and the therapy department receive praise, the facility has seen a recent uptick in serious complaints regarding medical oversight and communication. Families should conduct an in-person visit during a weekend to verify staffing levels and ask specific questions about their protocols for notifying families during medical emergencies.
Google Reviews
Google Reviews
75 reviews on Google“Highlands Nursing and Rehabilitation presents a polarized experience, with many recent reviewers praising significant facility renovations and a more dedicated management team under new ownership. However, persistent reports of neglect, poor communication, and inadequate staffing—particularly on weekends—remain a serious concern for families. Potential residents should weigh the positive reports of improved aesthetics and therapy services against the recurring allegations of hygiene issues and slow response times.”
Quality Themes
Tap a score for detailsStrengths
- Significant facility renovations and upgrades
- Strong rehabilitation and therapy team
- Compassionate and attentive nursing staff
- Responsive administrative leadership
Concerns
- Inadequate hygiene and failure to assist with basic personal care (mentioned by 7 reviewers)
- Poor communication and difficulty reaching staff/management (mentioned by 5 reviewers)
- Understaffing, especially on weekends and night shifts (mentioned by 4 reviewers)
- Loss or theft of personal belongings (clothing, eyeglasses) (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 76 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see the recent renovations and upgrades to the facility; could you tell us more about how these improvements have enhanced the resident experience?
- 2We noticed the administration is very active in responding to feedback, so how does the leadership team currently work with families to ensure clear and consistent communication?
- 3What specific protocols are in place to ensure that medication management is handled accurately and that residents receive timely assistance with their daily personal care needs?
- 4How does the nursing team manage staffing levels during the night shifts and over the weekends to ensure everyone stays well-attended to?
- 5Could you describe the daily activity schedule and what kind of social engagement or programs are available to keep residents active and involved?
- 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating care with the clinical team?
Personalized based on this facility's data
Key Review Excerpts
“The facility has came a long way the staff is super friendly and helpful. The therapy department is amazing!”
“My Mother has been at Highlands for almost a year now. We have been grateful for their care of her. Very nice people working and caring for the residents there.”
“My grandmother who has dementia is a patient here and is doing SO well at this nursing home. They have friendly nursing staff, follow proper protocol when it comes to care and help for their patients.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Highlands Nursing and Rehabilitation has a concerning pattern of repeated deficiencies across all three surveys, with issues in resident rights, care planning, and fire safety recurring consistently. The facility struggles with maintaining safe environments, proper electrical systems, and medication management, with many of the same problems appearing in 2020, 2024, and into 2025. Families should be aware that while deficiencies show correction dates, the persistence of similar issues suggests ongoing operational challenges.
Feb 28, 2025Routine13
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Mar 23, 2024Routine13
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Jan 11, 2020Routine27
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Meet other general requirements that are deficient.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Federal Penalties
Fine
Mar 23, 2024
$6,780
Fine
Mar 23, 2024
$10,743
Payment Denial
Mar 23, 2024
8-day denial
Ownership & Operations
Who Operates This Facility
Highlands Nursing and Rehabilitation
for profit
Chain Affiliation
David Marx
10 facilities nationwide
Chain avg rating: 2.4/5 · Rank 6 of 10
Ownership & Management
Owners
Highlands Nursing and Rehabilitation Holdings LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
75 reviews from families & visitors
Official Website
Visit highlandsnandr.com
Medicare data downloads
Original nursing home datasets
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